| NPI | 1326514977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6104) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 29022) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |